IAS2000 Annual Meeting

Registration Form

October 8-12, 2000 -- Sheraton Roma Hotel (Italy) (Headquarters Hotel)

(Link to On-Line Registration Form)

 

Please complete in capital letters
Use a separate form for each registrant

NAME
                                       

STREET ADDRESS
                                       

CITY/STATE/ZIP/COUNTRY
                                       

E-MAIL ADDRESS
                                       

COMPANION NAME
                                       

MEMBERSHIP (Please Circle): IEEE / IAS / IEE / IEEJ / AEI / EPE / NONE

MEMBER NUMBER:

                  

REGISTRATION FEES

REG. TYPE
RECEIVED BEFORE APR 1
RECEIVED BEFORE JUL 31
RECEIVED AFTER JUL 31
TOTAL
FULL
USD 500 member;
USD 600 non-member
USD 550 member;
USD 650 non-member
USD 700 member;
USD 800 non-member
$
(Full includes admission to technical sessions, copy of CD Proceedings, access to exhibit, Welcome Reception, Exhibitor's Reception, Awards Luncheon, President's Banquet, Coffee-breaks)
ONE DAY
USD 300 member;
USD 400 non-member
USD 350 member;
USD 450 non-member
USD 400 member;
USD 500 non-member
$
Please check which day:
Mon. Oct 9 ____
Tues. Oct 10 ____
Wed. Oct. 11 ____
Thurs. Oct 12 ____
 
STUDENT
USD 50
USD 50
USD 50
$
(Student includes M. Zucker Lunch, copy CD Conference Proceedings, Exhibit)
LIFE MEMBER IEEE
USD 50
USD 50
USD 50
$
COMPANION
USD 150
USD 150
USD 150
$
 
Total Reg Fees:
$
 
ADDITIONAL OPTIONS
NUMBER
FEE
TOTAL
PROCEEDINGS(additional copy) Hard Copy
 
To be defined
$
PROCEEDINGS(additional copy) CD-Rom
 
To be defined
$
SUNDAY, OCT 8 -- WELCOME RECEPTION
 
USD 60
$
MONDAY, OCT 9 -- EXHIBITOR'S RECEPTION
 
USD 30
$
TUESDAY, OCT 10 -- AWARDS LUNCHEON
 
USD 50
$
WEDNESDAY OCT 11 -- PRESIDENT'S BANQUET
 
USD 70
$

TOTAL REMITTANCE:

$

METHOD OF PAYMENT
CREDIT CARD (Please Circle): Visa / Mastercard / AMEX / Diner's Club
CARD NUMBER:
                                       
CARDHOLDER NAME (exactly as shown on credit card)
Expiration Date:
                             
Authorized Signature:
Date:
                             
Mail or fax all completed Hotel & Registration Forms to:
Make wire transfer payable to:
REGISTRAR,
2000 IEEE IAS CONFERENCE & ANNUAL MEETING
c/o IEEE Travel and Conference Management Services
445 Hoes Lane, P.O. Box 1331
Piscataway, NJ 08855-1331, USA
In US 1-800-810-433, Outside US 1-732-562-3870
FAX: 1-732-981-120, Email: mtg-reg-serv@ieee.org
CONFERENCE BANK NAME: Fleet Bank Boston, Massachusetts
BANK ACCOUNT NUMBER: 845 900 1469
BANK ACCOUNT NAME: IEEE Travel Services
ABA#: L011 000 138
Special Instructions

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File: iasconfregfax.html Updated: Sep 7, 1999 by m.padgett@ieee.org